scholarly journals Designing food and meals for bone marrow transplant patients with compromised immunity

2021 ◽  
Vol 6 (1) ◽  
pp. 27-51
Author(s):  
Céline Patois ◽  
Yang Chen ◽  
Herbert L. Meiselman ◽  
Fiorenza Barraco ◽  
Agnès Giboreau

Immunocompromised post-bone marrow transplant patients must follow a restrictive diet after discharge to avoid microbiological risks in food. Despite the apparent health considerations, these restrictions can sometimes create confusion and apprehension during home meal preparation which has a negative impact on patients’ social dining experiences with families and friends and ultimately leads to adverse health effects such as appetite and weight loss. A user-friendly meal guidebook, specifically designed to fit patient’s needs, was developed to ensure a smooth transition from controlled hospital food to home-cooked meals without compromises in food safety and pleasure. With this guidebook, the objective of this uncommon collaboration between chefs and health professionals was to provide clear instructions to the patients on their diet and adapted recipes (six starters, eight main dishes and eight desserts) easy to do and share with the whole family. This design project represents a unique approach to addressing the food and nutrition needs of these transplant patients. Thus, this article presents an example of a multi-actor collaboration between health and culinary professionals who combined their expertise to help the patients feel less marginalized after their hospitalization and to support their recovery by providing adapted recipes that they can share with their family.

Author(s):  
Cameron K. Ledford ◽  
Alexander R. Vap ◽  
Michael P. Bolognesi ◽  
Samuel S. Wellman

2021 ◽  
Vol 30 ◽  
pp. S198-S199
Author(s):  
P. Emerson ◽  
S. Mahendran ◽  
L. Stefani ◽  
T. Deshmukh ◽  
S. Trivedi ◽  
...  

2004 ◽  
Vol 50 (2) ◽  
pp. 306-312 ◽  
Author(s):  
Stefan S Biel ◽  
Andreas Nitsche ◽  
Andreas Kurth ◽  
Wolfgang Siegert ◽  
Muhsin Özel ◽  
...  

Abstract Background: We studied electron microscopy (EM) as an appropriate test system for the detection of polyomavirus in urine samples from bone marrow transplant patients. Methods: We evaluated direct EM, ultracentrifugation (UC) before EM, and solid-phase immuno-EM (SPIEM). The diagnostic accuracy of EM was studied by comparison with a real-time PCR assay on 531 clinical samples. Results: The detection rate of EM was increased by UC and SPIEM. On 531 clinical urine samples, the diagnostic sensitivity of EM was 47% (70 of 149) with a specificity of 100%. We observed a linear relationship between viral genome concentration and the proportion of urine samples positive by EM, with a 50% probability for a positive EM result for urine samples with a polyomavirus concentration of 106 genome-equivalents (GE)/mL; the probability of a positive EM result was 0% for urine samples with <103 GE/mL and 100% for urine samples containing 109 GE/mL. Conclusions: UC/EM is rapid and highly specific for polyomavirus in urine. Unlike real-time PCR, EM has low sensitivity and cannot quantify the viral load.


BMJ ◽  
1971 ◽  
Vol 1 (5739) ◽  
pp. 18-23 ◽  
Author(s):  
C. O. Solberg ◽  
H. J. Meuwissen ◽  
R. N. Needham ◽  
R. A. Good ◽  
J. M. Matsen

1998 ◽  
Vol 37 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Sohail Khattak ◽  
John W. Rogan ◽  
E. Fred Saunders ◽  
Jochen G. W. Theis ◽  
Gerald S. Arbus ◽  
...  

1993 ◽  
Vol 24 (2) ◽  
pp. 152-159
Author(s):  
Kay Washington ◽  
William Peters ◽  
Marcia R. Gottfried

1989 ◽  
Vol 17 (2) ◽  
pp. 140-143 ◽  
Author(s):  
J. A. Russell ◽  
W. B. Blahey ◽  
T. A. Stuart ◽  
G. Edwards ◽  
R. T. Card

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